Sudden Infant Death Syndrome (SIDS) is the leading cause of death for infants in the United States up to 1 year of age. The American Academy of Pediatrics (AAP) Task Force on SIDS publishes national guidelines to reduce risks of SIDS and other sleep-related infant deaths.

The SIDS task force at University of Iowa Stead Family Children’s Hospital supports AAP guidelines as best practice for creating the safest sleep environment for infants.

Infant sleeping in crib

ABC’s of Safe Sleep

A - Alone in crib
B - Back to sleep
C - Crib empty of all objects 

Please remember to practice safe sleep by:

  • Placing the baby on his or her back to sleep, for naps and at night
  • Keeping soft objects, toys, and loose bedding and blankets out of your baby’s sleep area and keep all other items away from your baby’s face
  • Don’t use pillows, blankets, quilts, sheepskins, or pillow-like crib bumpers in your baby’s sleep area

Remember Tummy Time

Put a thin blanket on a clean floor. When baby is awake and someone is watching, place baby on his or her stomach.

Tummy time is important because it:

  • Helps prevent flat spots on back of baby’s head
  • Makes neck and shoulder muscles strong so baby can start to sit up, crawl, and walk. Develops coordination and motor skills.
  • Helps baby learn to play and interact with his or her surroundings

Blankets are for tummy time, NOT FOR SLEEP.

Not all Safe Sleep Products are Safe for Infants

Many products are marketed for “safer sleep” or to reduce the risk of SIDS. However, products without the AAP endorsement have not been shown to be safe for infants and are not recommended.

Products and practices considered unsafe by the AAP:

  • Wedges/positioners: The AAP strongly recommends placing infants on their backs to sleep on a firm surface. Side sleeping and positioning are not advised. Wedges and positioners are not recommended by the AAP.
  • Bumper pads: Bumper pads and mesh bumpers have been implicated as factors contributing to infant deaths from suffocation, entrapment, and strangulation. 
  • Baby boxes: These are not regulated by the Consumer Product Safety Commission (CPSC) and have not been tested to meet mandatory crib safety standards. Families at UI Stead Family Children’s Hospital who are unable to provide a safe crib for their infant after discharge may be eligible to receive a free play yard.
  • In-bed co-sleeping: Evidence shows that room-sharing without bed-sharing decreases the risk of SIDS by as much as 50 percent. However, bed-sharing – or co-sleeping – is a leading risk factor for SIDS and sleep-related infant death in the U.S. This practice is not recommended.

Products for which the AAP remains neutral:

  • Special crib mattresses: Some manufacturers claim that certain mattresses aid in the dispersion of carbon dioxide in situations where an infant rolls onto their belly while sleeping. The AAP asserts there is no data to support this claim, however there is no harm in using CSPC-approved crib mattresses as long as safe sleep practices are maintained.
  • Monitors: There is no evidence that cardiorespiratory monitors decrease the incidence of SIDS. The use of these monitors should not decrease the adherence to safe sleep practices.
    • Smartphone-integrated home baby monitors that measure vital signs are popular with parents, but they are not FDA-regulated. A study tested two of these monitors for accuracy and were found to perform inconsistently when reporting babies’ heart rate and oxygen saturation. Researchers advised caution in using the data provided by unregulated vital sign monitors.

Safe Sleep Facebook LIVE

The safe sleep experts at University of Iowa Stead Family Children's Hospital answer viewers' questions during a Facebook LIVE session.

Safety Store

Safe sleep products can be purchased from the UI Stead Family Children’s Hospital Safety Store. The trained Safety Store staff is also available to provide education on how to use safety products. For more information, visit uichildrens.org/safety-store.

Helpful Resource